A Retrospective Study of Latissimus Dorsi Flap in Immediate Breast Reconstruction
BackgroundThere are many different methods used for immediate breast reconstruction, but the advantages and disadvantages between distinct methods are not reported and compared directly.MethodsWe collected the data of patients who underwent breast reconstruction from 2010 to 2015 and classified a to...
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Frontiers Media S.A.
2021
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oai:doaj.org-article:80cc48876dd74187bcd4066a3bbcd24d2021-11-04T06:02:13ZA Retrospective Study of Latissimus Dorsi Flap in Immediate Breast Reconstruction2234-943X10.3389/fonc.2021.598604https://doaj.org/article/80cc48876dd74187bcd4066a3bbcd24d2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fonc.2021.598604/fullhttps://doaj.org/toc/2234-943XBackgroundThere are many different methods used for immediate breast reconstruction, but the advantages and disadvantages between distinct methods are not reported and compared directly.MethodsWe collected the data of patients who underwent breast reconstruction from 2010 to 2015 and classified a total of 103 patients into three groups: i) skin- or nipple-sparing mastectomy with implant and partial latissimus dorsi flap (MIPLD); ii) skin- or nipple-sparing mastectomy with the whole latissimus dorsi flap (MWLD); and iii) breast-conserving surgery and partial latissimus dorsi flap (BCSPLD). The outcome, safety, and cosmetic outcome of the latissimus dorsi muscle flap with or without implant were reported and compared.ResultsThe procedures were successful in all cases. None of the patients had severe complications. The 5-year distant metastasis-free survival is 94.2%. All the patients exhibited good arm and back function. Based on the evaluation of the BREAST-Q score, the cosmetic outcome of Satisfaction with Breasts was excellent or good in 97.8% of the cases.ConclusionsMIPLD, MWLD, and BCSPLD stand for three distinct methods for immediate breast reconstruction with good outcome and aesthetic effect. They were safe, were easy to perform, and provided quick recovery and good quality of life. Therefore, these three breast reconstructive methods are worthy of widespread use in clinical practice and provide different ways to reconstruct the breast according to the patients’ conditions and preferences.Hongmei ZhengHongmei ZhengGuodong ZhuQing GuanQing GuanQing GuanWei FanWei FanXiang LiXiang LiMancheng YuMancheng YuJuan XuJuan XuXinhong WuXinhong WuFrontiers Media S.A.articlebreast cancerlatissimus dorsi (LD) flapimplantbreast reconstructionoutcomeNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENFrontiers in Oncology, Vol 11 (2021) |
| institution |
DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
breast cancer latissimus dorsi (LD) flap implant breast reconstruction outcome Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 |
| spellingShingle |
breast cancer latissimus dorsi (LD) flap implant breast reconstruction outcome Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Hongmei Zheng Hongmei Zheng Guodong Zhu Qing Guan Qing Guan Qing Guan Wei Fan Wei Fan Xiang Li Xiang Li Mancheng Yu Mancheng Yu Juan Xu Juan Xu Xinhong Wu Xinhong Wu A Retrospective Study of Latissimus Dorsi Flap in Immediate Breast Reconstruction |
| description |
BackgroundThere are many different methods used for immediate breast reconstruction, but the advantages and disadvantages between distinct methods are not reported and compared directly.MethodsWe collected the data of patients who underwent breast reconstruction from 2010 to 2015 and classified a total of 103 patients into three groups: i) skin- or nipple-sparing mastectomy with implant and partial latissimus dorsi flap (MIPLD); ii) skin- or nipple-sparing mastectomy with the whole latissimus dorsi flap (MWLD); and iii) breast-conserving surgery and partial latissimus dorsi flap (BCSPLD). The outcome, safety, and cosmetic outcome of the latissimus dorsi muscle flap with or without implant were reported and compared.ResultsThe procedures were successful in all cases. None of the patients had severe complications. The 5-year distant metastasis-free survival is 94.2%. All the patients exhibited good arm and back function. Based on the evaluation of the BREAST-Q score, the cosmetic outcome of Satisfaction with Breasts was excellent or good in 97.8% of the cases.ConclusionsMIPLD, MWLD, and BCSPLD stand for three distinct methods for immediate breast reconstruction with good outcome and aesthetic effect. They were safe, were easy to perform, and provided quick recovery and good quality of life. Therefore, these three breast reconstructive methods are worthy of widespread use in clinical practice and provide different ways to reconstruct the breast according to the patients’ conditions and preferences. |
| format |
article |
| author |
Hongmei Zheng Hongmei Zheng Guodong Zhu Qing Guan Qing Guan Qing Guan Wei Fan Wei Fan Xiang Li Xiang Li Mancheng Yu Mancheng Yu Juan Xu Juan Xu Xinhong Wu Xinhong Wu |
| author_facet |
Hongmei Zheng Hongmei Zheng Guodong Zhu Qing Guan Qing Guan Qing Guan Wei Fan Wei Fan Xiang Li Xiang Li Mancheng Yu Mancheng Yu Juan Xu Juan Xu Xinhong Wu Xinhong Wu |
| author_sort |
Hongmei Zheng |
| title |
A Retrospective Study of Latissimus Dorsi Flap in Immediate Breast Reconstruction |
| title_short |
A Retrospective Study of Latissimus Dorsi Flap in Immediate Breast Reconstruction |
| title_full |
A Retrospective Study of Latissimus Dorsi Flap in Immediate Breast Reconstruction |
| title_fullStr |
A Retrospective Study of Latissimus Dorsi Flap in Immediate Breast Reconstruction |
| title_full_unstemmed |
A Retrospective Study of Latissimus Dorsi Flap in Immediate Breast Reconstruction |
| title_sort |
retrospective study of latissimus dorsi flap in immediate breast reconstruction |
| publisher |
Frontiers Media S.A. |
| publishDate |
2021 |
| url |
https://doaj.org/article/80cc48876dd74187bcd4066a3bbcd24d |
| work_keys_str_mv |
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